Individual provider · Type 1 NPI

Michael James Fennell Ii, PA-C

Physician Assistant · Orchard Park, NY

NPI number 1023765708 Active

Practice location

3055 Southwestern Blvd Ste 100
Orchard Park, NY 14127-1231

Mailing address

9673 Garden Walk
Clarence Center, NY 14032-9411

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X028057-01 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023765708

Michael James Fennell Ii, PA-C's National Provider Identifier is 1023765708, issued on Mar 3, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orchard Park, NY. The record was last updated on Mar 3, 2022.